Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $1,486.00 / $7,920.26	Facility		$197.65	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $143.41 / $438.88	Professional		$88.40	$143.41	$438.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $269.89 / $433.59	Professional		$164.11	$269.89	$433.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.62 / $258.35 / $374.30	Professional		$177.62	$258.35	$374.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.65 / $229.07 / $357.49	Facility		$145.65	$229.07	$357.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $255.12 / $351.19	Professional		$182.02	$255.12	$351.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $210.88 / $313.48	Facility		$148.19	$210.88	$313.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.09 / $231.73 / $412.75	Facility		$141.09	$231.73	$412.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $287.36 / $403.68	Professional		$199.96	$287.36	$403.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $309.83 / $455.75	Professional		$211.70	$309.83	$455.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.19 / $304.19 / $506.98	Professional		$210.19	$304.19	$506.98